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General NPI Number Information
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NPI Number | 1821349721
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Entity Type | Organization
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Legal Business Name | MOVEWELL, LLC
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 248 COLUMBIA TPKE SUITE 325
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1210
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Country | US
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Telephone | 973-377-3800
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Fax | 973-377-4800
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Provider Business Mailing Address
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Address Line | 34 WILLIAMSBURG DR
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City | ROSELAND
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State | NJ
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Zip | 07068-1215
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Country | US
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Telephone | 973-619-7156
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ MANAGING MEMBER
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Name | MARIA DENYSE IGNACIO
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Credential | OTR, CHT
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Telephone | 973-619-7156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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